Automatic blood pressure monitoring for verification of earlier diagnosis of treatment-resistant hypertension: a case report
Wójcik-Suwalska, M.; Bissinger, A.; Baj, Z.
Polski Merkuriusz Lekarski Organ Polskiego Towarzystwa Lekarskiego 15(86): 178-181
2003
ISSN/ISBN: 1426-9686 PMID: 14648988 Document Number: 560509
We present a case of 68-year old woman with long-term diagnosis of arterial hypertension resistant to treatment. Despite multiple treatment modifications and intensification the blood pressure values were poorly controlled. We observed the high lability of the blood pressure measured during 10 to 20 minutes intervals. 24 h automatic blood pressure monitoring (ABPM) was performed using Holter's method. The examination revealed normal or even low values of the arterial blood pressure. We established diagnosis of "white coat effect" and corrected the therapy.